in one patient of group I showed clearly demonstrable cubitus varus deformity in the form of negative carrying angle
, whereas in group II there were 11 such patients.
According to Flynn's criteria11 the range loss of motion loss and carrying angle
was less than 5 in 24 (80%) patients hence their result was excellent (figure).
9) The main cause of the loss of carrying angle
can be attributed to improper reduction or loss of reduction postoperatively.
The shoulder area also merits accentuation, as most women have a wider carrying angle
from the upper to lower arm (i.
Among these thirty cases on follow up, change in carrying angle
ranged from zero degree to nine degrees, the average being 3.
To restore the carrying angle
, Baumann's angle within 3 to 5 degrees of that of normal side and normal olecranon fossa alignment in displaced fractures to prevent Cubitus varus deformity.
Fracture stability was assessed, the elbow extended and carrying angle
was measured and compared to that on the non-affected side under image intensification.
Assessment at final follow-up included clinical measurement of the carrying angle
of both the elbows and range of elbow motion using a goniometer and radiographic assessment of union.
Excellent: union in perfect alignment with full range of motion at elbow, without any change in carrying angle
, without avascular necrosis/lateral prominence/premature fusion of physis.